Astımlı Çocuğun Ebeveynlerine Yönelik Taburculuk Eğitiminin Hemşirelik Öğrencilerinin Yeterliliklerinin Geliştirilmesine Etkisi
Year 2025,
Volume: 8 Issue: 1, 1 - 13, 24.04.2025
Funda Özpulat
,
Birsel Molu
,
Melike Taşdelen Baş
Abstract
Amaç: Tüm dünyada astımlı çocuk sayısı giderek artmaktadır. Hemşire liderliğindeki taburculuk eğitimleri hasta ve ailesine gerekli bilgi ve becerilerin kazandırılmasında önemlidir. Ancak hemşire liderliğindeki taburculuk programları yeterli düzeyde değildir. Bu yetersizliklerin giderilmesi için öğrencilik yıllarından başlayarak hemşirelerin yetkinliklerin geliştirilmesi gerekmektedir.
Yöntem: Yarı deneysel tipteki bu çalışma Mayıs-Eylül 2022 tarihleri arasında bir hemşirelik lisans programı 3.sınıf öğrencilerinin tamamının katılımıyla (n=64) yürütüldü. Hemşirelik öğrencileri "randomizer org" web sitesi ile deney grubu (n=33) ve kontrol grubu (n=31) olarak rastgele gruplara ayrıldı. Deney grubu hikaye tahtası tekniği ile desteklenmiş geleneksel eğitim alırken, kontrol grubuna yalnızca geleneksel eğitim uygulandı.
Bulgular: Gerek deney grubu gerekse kontrol gurunda uygulanan eğitim müdahalesi etkiliydi (p˂,001). Ancak hikaye tahtası geleneksel eğitimden daha etkiliydi. Ayrıca son testte deney grubundaki öğrencilerin Hemşirelik Öğrencilerinin Yetkinlik Ölçeği ve alt boyut puanları da arttı (p˂,001).
Sonuç: Hikaye tahtası, hemşirelik öğrencilerinin astım hakkında bilgi edinmelerine ve taburculuk eğitimi yeterliliğini geliştirmelerine yardımcı oldu. Bu yaklaşım hemşirelik öğrencilerini çalışma hayatına hazırlamak için bir eğitim aracı olarak kullanılabilir.
References
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- Bowen A, Kumar R, Howard J, Camilleri AE. (2014). Nurse led discharge: Improving efficiency, safely. Clinical Governance; Bradford, 19(2), 110-116. doi:10. 1108/CGIJ-03-2013-0007.
- Breneol S, Hatty A, Bishop AC, Curran JA. (2018). Nurse-led discharge in pediatric care: A scoping review. Journal of Pediatric Nursing, 41, 60-68.
- Calik A, Cakmak B, Kapucu S, Inkaya B. (2022). The effectiveness of serious games designed for infection prevention and promotion of safe behaviors of senior nursing students during the COVID-19 pandemic. American Journal of Infection Control, S0196-6553(22)00104-3. doi:10.1016/j.ajic.2022.02.025.
- Centers for Disease Control and Prevention (CDC). (2022). Most recent national asthma data. https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm.
- Cetin N, Cetinkaya Uslusoy E, Korkmaz M. (2016). Surveyıng the opınıons of asthmatıc patıents and nurses about the traınıng needs wıth q methodology. Suleyman Demirel University Journal of Health Sciences,7(1), 14-21.
- Cevik Ü, Keleş S, Keser M, Reisli İ. (2006). The effect of family education by a special nurse at the anxiety levels of the parents of asthmatic children. Journal of General Medicine, 16(2), 53-59.
- Dexter Y. (2016). Storyboarding as an aid to learning about death in children's nursing. Nursing Children and Young People, 28(5), 16-21. doi:10.7748/ncyp.28.5.16.s21.
- Faul F, Erdfelder E, Buchner A, Lang AG. (2020). G∗ Power Version 3.1. 9.7 [Computer Software]. Heinrich-Heine-Universität Düsseldorf.
- Goldsworthy S, Patterson JD, Dobbs M, Afzal AR, Deboer SH. (2019). How does simulation impact building competency and confidence in recognition and response to the adult and paediatric deteriorating patient among undergraduate nursing students? Clinical Simulation in Nursing, 28(2), 25-32.
- Graham L, Neal CP, Garcea G, Lloyd DM, Robertson GS, Sutton CD. (2012). Evaluation of nurse-led discharge following laparoscopic surgery. Journal of Evaluation in Clinical Practice, 18(1), 19-24. doi:10.1111/j.1365-2753. 2010.01510.x.
- Gutiérrez-Puertas L, Márquez-Hernández VV, Gutiérrez-Puertas V, Granados-Gámez G, Aguilera-Manrique G. (2020). Educational interventions for nursing students to develop communication skills with patients: A systematic review. International Journal of Environmental Research and Public Health, 17(7), 2241. doi:10.3390/ijerph17072241.
- Hassan SE, Esmat OM, Mohamed HM. (2018). Discharge plan for mothers to cope with their children suffering from bronchial asthma. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 7(2), 24-37.
- Hsu LL, Hsieh SI. (2009). Testing of a measurement model for baccalaureate nursing students’ self-evaluatin of core competencies. Journal of Advanced Nursing, 65(11), 2454-2463. doi:10.1111/j.1365-2648.2009.05124.x.
- Hoffart N, Doumit R, Nasser SC. (2016). Use of storyboards as an active learning strategy in pharmacy and nursing education. Currents in Pharmacy Teaching and Learning, 8, 876-884.
- Isık E, Fredland NM, Freysteinson WM. (2019). School and community-based nurse-led asthma interventions for school-aged children and their parents: A systematic literature review. Journal of Pediatric Nursing, 44, 107-114. doi:10.1016/j.pedn.2018.11.007.
- Jankowska-Polańska B, Pleśniak J, Seń M, Uchmanowicz I, Rosińczuk J. (2015). Importance of education in bronchial asthma treatment - gender differences. Pneumonologia i Alergologia Polska, 83(5), 341-347. doi:10.5603/PiAP.2015.0055.
- Joy S, Rumsey K, Ford M, Dickenson V. (2023). Gamification: Development, challenges, and implications for undergraduate nursing education. Teaching and Learning in Nursing, 18(3), 423-425.
- Jung AR, Park EA. (2022). The effectiveness of learning to use HMD-based VR technologies on nursing students: chemoport insertion surgery. International Journal of Environmental Research and Public Health, 19(8), 4823.
- Kang KA, Kim SJ, Lee MN, Kim M, Kim, S. (2020). Comparison of learning effects of virtual reality simulation on nursing students caring for children with asthma. International Journal of Environmental Research And Public Health, 17(22), 8417. doi:10.3390/ijerph17228417.
- Kantar M, Dogan M. (2016). Designing screenplays of 9th grade physics lesson material: Sample of force and motion unit. Journal of Research in Education and Teaching, 5(1), 323-332.
- Kelo M, Martikainen M, Eriksson E. (2013). Patient education of children and their families: nurses' experiences. Pediatric Nursing, 39(2), 71-79.
- Kovacic MB, Beckham C, Gertz S, Elshaer S, Kohli E, Biagini J, et al. (2022). Improve eczema/asthma research study enrollment and retention using engaging, participant co-designed graphic-style stories. Journal of Allergy and Clinical Immunology, 149(2), AB213.
- Lillyman S, Gutteridge R, Berridge, P. (2011). Using a storyboarding technique in the classroom to address end of life experiences in practice and engage student nurses in deeper reflection. Nurse Education in Practice, 11(3), 179-85.
- Macduff C, Marie Rafferty A, Prendiville A, Currie K, Castro-Sanchez E, King C, et al. (2020). Fostering nursing innovation to prevent and control antimicrobial resistance using approaches from the arts and humanities. J Res Nurs, 25(3), 189-207. doi:10.1177/1744987120914718.
- Maciejewski ML. (2020). Quasi-experimental design. Biostatistics & Epidemiology, 4(1), 38-47.
- Ns L. (2012). A study of knowledge assessment and competence in asthma and inhaler technique of nurses employed at university teaching hospital. http://applications.emro.who.int/imeLinmrf/Health/Health_2012_3_1_16_18.pdf.
- Pellet J, Weiss M, Zúniga F, Mabire C. (2024). Improving patient activation with a tailored nursing discharge teaching intervention for multimorbid inpatients: A quasi-experimental study. Patient Education and Counseling, 118, 108024.
- Scullion J. (2018). The nurse practitioners’ perspective on ınhaler education in asthma and chronic obstructive pulmonary disease. Canadian Respiratory Journal, 1-9. doi:10.1155/2018/2525319.
- Tatlı Z, Turan-Güntepe E, Ozkan CG, Kurt Y, Caylak-Altun E. (2017). The use of digital storytelling in nursing education, case of Turkey: Web 2.0 Practice. EURASIA Journal of Mathematics Science and Technology Education, 13(10), 6807-6822. doi:10.12973/ejmste/78032.
- Turkish Ministry of Health. (2022). Relieve your asthma. https://www.saglik.gov.tr.
- Ulker T. (2018). Validity and reliability study of nursing students' own professional competency assessment tool. Master Thesis. Hacettepe University Institute of Health Sciences. Ankara, Türkiye
- Weiss ME, Bobay KL, Bahr S, Costa L, Hughes R, Holland DE. (2015). Discharge preparation: A model for hospital discharge transition care. Journal of Nursing Administration, 45(12), 606-614.
- Weiss ME, Piacentine LB, Candela L, Bobay, KL (2021). Effectiveness of using a simulation combined with online learning approach to develop discharge teaching skills. Nurse Education in Practice, 52, 103024.
- Wu, FQ, Wang YL, Wu Y, Guo M. (2014). Application of nursing core competency standard education in the training of nursing undergraduates. International Journal of Nursing Sciences, 1(4), 367-370.
- Yakut I. (2014). The functions of technics of storyboard and storyline in the nowadays education environments. Mediterranean Art Journal, 7(1), 55-72.
Improving Nursing Students' Competence ın Discharge Training for Parents of Children with Asthma
Year 2025,
Volume: 8 Issue: 1, 1 - 13, 24.04.2025
Funda Özpulat
,
Birsel Molu
,
Melike Taşdelen Baş
Abstract
Objective: More and more children have asthma worldwide. Discharge training provided by nurses should ensure that patients and their family members acquire the knowledge and develop the skills necessary for home care. However, nurse-led discharge training programs are far from meeting their demands and expectations. Therefore, nurses should develop specific competency during their undergraduate years to provide efficient discharge training.
Methods: This quasi-experimental type study was conducted between May and September 2022 with the participation of all 3rd year students of a nursing undergraduate program (n=64). Nursing students were randomly assigned to groups from each stratum on the "randomizer org" website: experimental group (n=33) and control group (n=31). The experimental group received traditional training with storyboards, while the control group received only traditional training.
Results: The training significantly affected both groups (p˂.001). However, storyboarding was more effective than traditional training. Moreover, experimental group had significantly higher mean Competency Inventory of Nursing Students total and subscale scores than control group (p ˂.001).
Conclusion: Storyboarding helped nursing students learn about asthma and develop discharge training competency. This approach can be used as an educational tool to prepare nursing students for working life.
References
- Birgili B, Seggie FN, Oğuz E. (2021). The trends and outcomes of flipped learning research between 2012 and 2018: A descriptive content analysis. Journal of Computers in Education, 8, 365-394. doi:10.1007/s40692-021-00183-y.
- Bowen A, Kumar R, Howard J, Camilleri AE. (2014). Nurse led discharge: Improving efficiency, safely. Clinical Governance; Bradford, 19(2), 110-116. doi:10. 1108/CGIJ-03-2013-0007.
- Breneol S, Hatty A, Bishop AC, Curran JA. (2018). Nurse-led discharge in pediatric care: A scoping review. Journal of Pediatric Nursing, 41, 60-68.
- Calik A, Cakmak B, Kapucu S, Inkaya B. (2022). The effectiveness of serious games designed for infection prevention and promotion of safe behaviors of senior nursing students during the COVID-19 pandemic. American Journal of Infection Control, S0196-6553(22)00104-3. doi:10.1016/j.ajic.2022.02.025.
- Centers for Disease Control and Prevention (CDC). (2022). Most recent national asthma data. https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm.
- Cetin N, Cetinkaya Uslusoy E, Korkmaz M. (2016). Surveyıng the opınıons of asthmatıc patıents and nurses about the traınıng needs wıth q methodology. Suleyman Demirel University Journal of Health Sciences,7(1), 14-21.
- Cevik Ü, Keleş S, Keser M, Reisli İ. (2006). The effect of family education by a special nurse at the anxiety levels of the parents of asthmatic children. Journal of General Medicine, 16(2), 53-59.
- Dexter Y. (2016). Storyboarding as an aid to learning about death in children's nursing. Nursing Children and Young People, 28(5), 16-21. doi:10.7748/ncyp.28.5.16.s21.
- Faul F, Erdfelder E, Buchner A, Lang AG. (2020). G∗ Power Version 3.1. 9.7 [Computer Software]. Heinrich-Heine-Universität Düsseldorf.
- Goldsworthy S, Patterson JD, Dobbs M, Afzal AR, Deboer SH. (2019). How does simulation impact building competency and confidence in recognition and response to the adult and paediatric deteriorating patient among undergraduate nursing students? Clinical Simulation in Nursing, 28(2), 25-32.
- Graham L, Neal CP, Garcea G, Lloyd DM, Robertson GS, Sutton CD. (2012). Evaluation of nurse-led discharge following laparoscopic surgery. Journal of Evaluation in Clinical Practice, 18(1), 19-24. doi:10.1111/j.1365-2753. 2010.01510.x.
- Gutiérrez-Puertas L, Márquez-Hernández VV, Gutiérrez-Puertas V, Granados-Gámez G, Aguilera-Manrique G. (2020). Educational interventions for nursing students to develop communication skills with patients: A systematic review. International Journal of Environmental Research and Public Health, 17(7), 2241. doi:10.3390/ijerph17072241.
- Hassan SE, Esmat OM, Mohamed HM. (2018). Discharge plan for mothers to cope with their children suffering from bronchial asthma. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 7(2), 24-37.
- Hsu LL, Hsieh SI. (2009). Testing of a measurement model for baccalaureate nursing students’ self-evaluatin of core competencies. Journal of Advanced Nursing, 65(11), 2454-2463. doi:10.1111/j.1365-2648.2009.05124.x.
- Hoffart N, Doumit R, Nasser SC. (2016). Use of storyboards as an active learning strategy in pharmacy and nursing education. Currents in Pharmacy Teaching and Learning, 8, 876-884.
- Isık E, Fredland NM, Freysteinson WM. (2019). School and community-based nurse-led asthma interventions for school-aged children and their parents: A systematic literature review. Journal of Pediatric Nursing, 44, 107-114. doi:10.1016/j.pedn.2018.11.007.
- Jankowska-Polańska B, Pleśniak J, Seń M, Uchmanowicz I, Rosińczuk J. (2015). Importance of education in bronchial asthma treatment - gender differences. Pneumonologia i Alergologia Polska, 83(5), 341-347. doi:10.5603/PiAP.2015.0055.
- Joy S, Rumsey K, Ford M, Dickenson V. (2023). Gamification: Development, challenges, and implications for undergraduate nursing education. Teaching and Learning in Nursing, 18(3), 423-425.
- Jung AR, Park EA. (2022). The effectiveness of learning to use HMD-based VR technologies on nursing students: chemoport insertion surgery. International Journal of Environmental Research and Public Health, 19(8), 4823.
- Kang KA, Kim SJ, Lee MN, Kim M, Kim, S. (2020). Comparison of learning effects of virtual reality simulation on nursing students caring for children with asthma. International Journal of Environmental Research And Public Health, 17(22), 8417. doi:10.3390/ijerph17228417.
- Kantar M, Dogan M. (2016). Designing screenplays of 9th grade physics lesson material: Sample of force and motion unit. Journal of Research in Education and Teaching, 5(1), 323-332.
- Kelo M, Martikainen M, Eriksson E. (2013). Patient education of children and their families: nurses' experiences. Pediatric Nursing, 39(2), 71-79.
- Kovacic MB, Beckham C, Gertz S, Elshaer S, Kohli E, Biagini J, et al. (2022). Improve eczema/asthma research study enrollment and retention using engaging, participant co-designed graphic-style stories. Journal of Allergy and Clinical Immunology, 149(2), AB213.
- Lillyman S, Gutteridge R, Berridge, P. (2011). Using a storyboarding technique in the classroom to address end of life experiences in practice and engage student nurses in deeper reflection. Nurse Education in Practice, 11(3), 179-85.
- Macduff C, Marie Rafferty A, Prendiville A, Currie K, Castro-Sanchez E, King C, et al. (2020). Fostering nursing innovation to prevent and control antimicrobial resistance using approaches from the arts and humanities. J Res Nurs, 25(3), 189-207. doi:10.1177/1744987120914718.
- Maciejewski ML. (2020). Quasi-experimental design. Biostatistics & Epidemiology, 4(1), 38-47.
- Ns L. (2012). A study of knowledge assessment and competence in asthma and inhaler technique of nurses employed at university teaching hospital. http://applications.emro.who.int/imeLinmrf/Health/Health_2012_3_1_16_18.pdf.
- Pellet J, Weiss M, Zúniga F, Mabire C. (2024). Improving patient activation with a tailored nursing discharge teaching intervention for multimorbid inpatients: A quasi-experimental study. Patient Education and Counseling, 118, 108024.
- Scullion J. (2018). The nurse practitioners’ perspective on ınhaler education in asthma and chronic obstructive pulmonary disease. Canadian Respiratory Journal, 1-9. doi:10.1155/2018/2525319.
- Tatlı Z, Turan-Güntepe E, Ozkan CG, Kurt Y, Caylak-Altun E. (2017). The use of digital storytelling in nursing education, case of Turkey: Web 2.0 Practice. EURASIA Journal of Mathematics Science and Technology Education, 13(10), 6807-6822. doi:10.12973/ejmste/78032.
- Turkish Ministry of Health. (2022). Relieve your asthma. https://www.saglik.gov.tr.
- Ulker T. (2018). Validity and reliability study of nursing students' own professional competency assessment tool. Master Thesis. Hacettepe University Institute of Health Sciences. Ankara, Türkiye
- Weiss ME, Bobay KL, Bahr S, Costa L, Hughes R, Holland DE. (2015). Discharge preparation: A model for hospital discharge transition care. Journal of Nursing Administration, 45(12), 606-614.
- Weiss ME, Piacentine LB, Candela L, Bobay, KL (2021). Effectiveness of using a simulation combined with online learning approach to develop discharge teaching skills. Nurse Education in Practice, 52, 103024.
- Wu, FQ, Wang YL, Wu Y, Guo M. (2014). Application of nursing core competency standard education in the training of nursing undergraduates. International Journal of Nursing Sciences, 1(4), 367-370.
- Yakut I. (2014). The functions of technics of storyboard and storyline in the nowadays education environments. Mediterranean Art Journal, 7(1), 55-72.